Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $468.10 / $4,032.00 / $8,920.00	Facility		$468.10	$4,032.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $355.68 / $438.37 / $716.12	Professional		$355.68	$438.37	$716.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,266.00 / $8,669.00 / $11,373.00	Facility		$6,266.00	$8,669.00	$11,373.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $342.61 / $435.58 / $607.98	Professional		$342.61	$435.58	$607.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $410.54 / $800.90 / $3,275.56	Professional		$410.54	$800.90	$3,275.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $381.05 / $524.52 / $883.50	Professional		$381.05	$524.52	$883.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $353.93 / $424.72 / $523.82	Professional		$353.93	$424.72	$523.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $401.48 / $528.95 / $740.85	Facility		$401.48	$528.95	$740.85
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $902.28 / $1,012.35 / $1,172.56	Facility	50	$902.28	$1,012.35	$1,172.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $488.00 / $535.33 / $870.98	Professional		$488.00	$535.33	$870.98
Sentara Facility/Professional Facility Modifier Low / Median / High Price $391.85 / $520.34 / $9,929.00	Facility		$391.85	$520.34	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $391.85 / $520.34 / $9,929.00	Professional		$391.85	$520.34	$9,929.00
United Facility/Professional Facility Modifier Low / Median / High Price $8,367.00 / $13,296.00 / $26,537.00	Facility		$8,367.00	$13,296.00	$26,537.00
United Facility/Professional Professional Modifier Low / Median / High Price $339.63 / $560.95 / $835.22	Professional		$339.63	$560.95	$835.22